Congenital saccular aneurysm of coarctation of aorta: a case report
True saccular aneurysm is exceptional in coarctation of aorta in children. A 6-year-old girl with headache and systemic arterial hypertension referred to our center for cardiovascular evaluation. Physical examination revealed high blood pressure and weak lower extremity pulses. Two-dimensional and D...
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| Published in: | The journal of Tehran Heart Center Vol. 8; no. 4; pp. 210 - 212 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Iran
Tehran University of Medical Sciences
28-10-2013
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | True saccular aneurysm is exceptional in coarctation of aorta in children. A 6-year-old girl with headache and systemic arterial hypertension referred to our center for cardiovascular evaluation. Physical examination revealed high blood pressure and weak lower extremity pulses. Two-dimensional and Doppler echocardiography and angiography demonstrated a saccular aneurysm of the descending aorta, 5×4 cm in size, associated with aortic coarctation. Aneurysmectomy was performed without cardiopulmonary bypass. The section of the aorta containing the coarctation and the aneurysm was resected and replaced with a 15-mm woven polyester graft. Histological examination revealed a thin walled aneurysm with hyalinosis changes and decreased elastic fibers.One-year echocardiographic follow-up revealed no gradient across of Dacron tube and hypertension decreased to normal level. |
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| ISSN: | 1735-5370 2008-2371 |